Bunion Surgery (Hallux Valgus)

PREVALENCE — Many studies have tried to determine the prevalence of hallux valgus (HV) deformity. Approximately 4 to 44 percent of women and 2 to 22 percent of men have HV deformity, depending upon the method of measurement and the population studied 7-14. The prevalence is greater among shod compared with barefoot populations, although the condition is still found twice as often in women than men in non-shod populations 15-17. Proximal osteotomy appears to be more effective at correcting both the HA and IM angles but results in a shorter metatarsal and higher complication rates 43. Patient satisfaction with each procedure was 97 percent. Cosmetic surgery is out of place in hallux valgus. The danger is far too great that a previously symptom-free patient will suffer pain for weeks or even months after the intervention. For surgical treatment to be indicated, the patient must have pain that is not alleviated by a simple change of shoes or by other, conservative treatments. Moreover, the pain must be regular in occurrence and must noticeably impair the function of the affected foot. In the face of the high number of different operations described and the mostly low level of evidence of the investigations published, it is impossible to give treatment recommendations based on high-level evidence. First ray anatomy — No muscles originate on the first metatarsal and insert into the phalanx to directly stabilize the first metatarsophalangeal (MTP) joint. The abductor and adductor hallucis muscles pass medially and laterally to the MTP joint respectively, but they are located nearer to the plantar surface (show figure 5). Thus, any force pushing the proximal phalanx laterally, or the metatarsal head medially, is relatively unrestrained and can create a valgus deformity. Hyperkeratosis may also occur as a result of altered weight-bearing forces and can cause marked discomfort. Assessment of HV to determine the factors causing patient discomfort is important, as it will help to determine the appropriate treatment.hallux valgus icd 9 Each foot is supported by three arches. Foot arches are the body's springs and shock absorbers. They propel your feet and absorb body weight and impact when you walk, run or jump. Daily wearing of high heel shoes restricts your feet and the associated articulations and deforms the transverse and medial longitudinal arches. The transverse arch runs across your the bottom of your toes, while medial longitudinal arch runs lengthwise along inside part of your foot. Stretching the calf muscles will reduce some of the tension and tightness in the Achilles tendon and plantar fascia. Plantar fasciitis and calcaneal bursitis are common among runway models and ballroom dancers. High heel shoes change how your feet distribute body weight. Usually, there is an increased weight distribution to the second to fourth toes which collapses the transverse arch. Your body attempts to lift and pad the fallen transverse arch with calluses. Other scar tissues will also form underneath the ball of your toes. You'll often experience pain at the bottom of the second to fourth toes after hours of wearing high heels. If you experience pain to your heel, arch or toe, get them treated before the problems become permanent. Conservative treatments should always be considered before any type of foot surgery. Conservative treatments are cost effective and less complicated. These modalities provide no real ability to correct the deformity; however, a degree of symptomatic relief can delay or obviate the possibility of surgical intervention. Surgery should be considered when bunion pain interferes with activities of daily living and conservative treatments have failed. A podiatric surgeon can provide surgical options that fit each patient’s individual needs. What is bunion surgery? Which surgical procedures are used for the treatment of bunions? Go through this article to find out more about the surgical treatment of this foot condition. During the fitting, make sure your child is standing and that at minimum, 3/8” space remains between the toe and the shoehallux valgus definition